Sinus and anterior skull base surgery during the COVID-19 pandemic: systematic review, synthesis and YO-IFOS position.
Identifieur interne : 000601 ( Main/Exploration ); précédent : 000600; suivant : 000602Sinus and anterior skull base surgery during the COVID-19 pandemic: systematic review, synthesis and YO-IFOS position.
Auteurs : Thomas Radulesco [France] ; Jerome R. Lechien [France, Belgique] ; Leigh J. Sowerby [France, Canada] ; Sven Saussez [France, Belgique] ; Carlos Chiesa-Estomba [France, Espagne] ; Zoukaa Sargi [France, États-Unis] ; Philippe Lavigne [France, Canada] ; Christian Calvo-Henriquez [France, Espagne] ; Chwee Ming Lim [France, Singapour] ; Napadon Tangjaturonrasme [France, Thaïlande] ; Patravoot Vatanasapt [France, Thaïlande] ; Puya Dehgani-Mobaraki [France, Italie] ; Nicolas Fakhry [France] ; Tareck Ayad [France, Canada] ; Justin Michel [France]Source :
- European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [ 1434-4726 ] ; 2020.
Abstract
PURPOSE
The COVID-19 pandemic has caused significant confusion about healthcare providers' and patients' pandemic-specific risks related to surgery. The aim of this systematic review is to summarize recommendations for sinus and anterior skull base surgery during the COVID-19 pandemic.
METHODS
PubMed/MEDLINE, Google Scholar, Scopus and Embase were searched by two independent otolaryngologists from the Young Otolaryngologists of IFOS (YO-IFOS) for studies dealing with sinus and skull base surgery during COVID-19 pandemic. The review also included unpublished guidelines edited by Otolaryngology-Head and Neck Surgery or Neurosurgery societies. Perioperative factors were investigated including surgical indications, preoperative testing of patients, practical management in operating rooms, technical aspects of surgery and postoperative management. The literature review was performed according to PRISMA guidelines. The criteria for considering studies or guidelines for the review were based on the population, intervention, comparison, outcome, timing and setting (PICOTS) framework.
RESULTS
15 International publications met inclusion criteria. Five references were guidelines from national societies. All guidelines recommended postponing elective surgeries. An algorithm is proposed that classifies endonasal surgical procedures into three groups based on the risk of postponing surgery. Patients' COVID-19 status should be preoperatively assessed. Highest level of personal protective equipment (PPE) is recommended, and the use of high-speed powered devices should be avoided. Face-to-face postoperative visits must be limited.
CONCLUSIONS
Sinus and skull base surgeries are high-risk procedures due to potential aerosolization of SARS-CoV-2 virus. Protection of health care workers by decreasing exposure and optimizing the use of PPE is essential with sinus and anterior skull base surgery.
DOI: 10.1007/s00405-020-06236-9
PubMed: 32710178
PubMed Central: PMC7380149
Affiliations:
- Belgique, Canada, Espagne, France, Italie, Singapour, Thaïlande, États-Unis
- Floride, Provence-Alpes-Côte d'Azur, Province de Hainaut, Région wallonne, Île-de-France
- Liège, Marseille, Paris
- Université de Mons
Links toward previous steps (curation, corpus...)
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Sowerby</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Western University, London, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Western University, London, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Saussez, Sven" sort="Saussez, Sven" uniqKey="Saussez S" first="Sven" last="Saussez">Sven Saussez</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons</wicri:regionArea><orgName type="university">Université de Mons</orgName><placeName><settlement type="city">Liège</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province de Hainaut</region></placeName></affiliation></author><author><name sortKey="Chiesa Estomba, Carlos" sort="Chiesa Estomba, Carlos" uniqKey="Chiesa Estomba C" first="Carlos" last="Chiesa-Estomba">Carlos Chiesa-Estomba</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian</wicri:regionArea><wicri:noRegion>San Sebastian</wicri:noRegion></affiliation></author><author><name sortKey="Sargi, Zoukaa" sort="Sargi, Zoukaa" uniqKey="Sargi Z" first="Zoukaa" last="Sargi">Zoukaa Sargi</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Lavigne, Philippe" sort="Lavigne, Philippe" uniqKey="Lavigne P" first="Philippe" last="Lavigne">Philippe Lavigne</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de L'Université de Montréal, Montreal, QC, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de L'Université de Montréal, Montreal, QC</wicri:regionArea><wicri:noRegion>QC</wicri:noRegion></affiliation></author><author><name sortKey="Calvo Henriquez, Christian" sort="Calvo Henriquez, Christian" uniqKey="Calvo Henriquez C" first="Christian" last="Calvo-Henriquez">Christian Calvo-Henriquez</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Lim, Chwee Ming" sort="Lim, Chwee Ming" uniqKey="Lim C" first="Chwee Ming" last="Lim">Chwee Ming Lim</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Duke-NUS Medical School, Singapore General Hospital, Singapore, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Otorhinolaryngology Head and Neck Surgery, Duke-NUS Medical School, Singapore General Hospital, Singapore</wicri:regionArea><wicri:noRegion>Singapore</wicri:noRegion></affiliation></author><author><name sortKey="Tangjaturonrasme, Napadon" sort="Tangjaturonrasme, Napadon" uniqKey="Tangjaturonrasme N" first="Napadon" last="Tangjaturonrasme">Napadon Tangjaturonrasme</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology Head of Division of Head and Neck Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.</nlm:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Otolaryngology Head of Division of Head and Neck Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation></author><author><name sortKey="Vatanasapt, Patravoot" sort="Vatanasapt, Patravoot" uniqKey="Vatanasapt P" first="Patravoot" last="Vatanasapt">Patravoot Vatanasapt</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.</nlm:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen</wicri:regionArea><wicri:noRegion>Khon Kaen</wicri:noRegion></affiliation></author><author><name sortKey="Dehgani Mobaraki, Puya" sort="Dehgani Mobaraki, Puya" uniqKey="Dehgani Mobaraki P" first="Puya" last="Dehgani-Mobaraki">Puya Dehgani-Mobaraki</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology Head and Surgery, Gubbio-Gualdo Tadino Hospital, USL Umbria 1, Gubbio, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Otolaryngology Head and Surgery, Gubbio-Gualdo Tadino Hospital, USL Umbria 1, Gubbio</wicri:regionArea><wicri:noRegion>Gubbio</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Association "Naso Sano" Onlus, Umbria Regional Registry of Volunteer Activities, Corciano, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Association "Naso Sano" Onlus, Umbria Regional Registry of Volunteer Activities, Corciano</wicri:regionArea><wicri:noRegion>Corciano</wicri:noRegion></affiliation></author><author><name sortKey="Fakhry, Nicolas" sort="Fakhry, Nicolas" uniqKey="Fakhry N" first="Nicolas" last="Fakhry">Nicolas Fakhry</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Ayad, Tareck" sort="Ayad, Tareck" uniqKey="Ayad T" first="Tareck" last="Ayad">Tareck Ayad</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de L'Université de Montréal, Montreal, QC, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de L'Université de Montréal, Montreal, QC</wicri:regionArea><wicri:noRegion>QC</wicri:noRegion></affiliation></author><author><name sortKey="Michel, Justin" sort="Michel, Justin" uniqKey="Michel J" first="Justin" last="Michel">Justin Michel</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Aix-Marseille University, IUSTI, 13013, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Aix-Marseille University, IUSTI, 13013, Marseille</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32710178</idno><idno type="pmid">32710178</idno><idno type="doi">10.1007/s00405-020-06236-9</idno><idno type="pmc">PMC7380149</idno><idno type="wicri:Area/Main/Corpus">000845</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000845</idno><idno type="wicri:Area/Main/Curation">000845</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000845</idno><idno type="wicri:Area/Main/Exploration">000845</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Sinus and anterior skull base surgery during the COVID-19 pandemic: systematic review, synthesis and YO-IFOS position.</title><author><name sortKey="Radulesco, Thomas" sort="Radulesco, Thomas" uniqKey="Radulesco T" first="Thomas" last="Radulesco">Thomas Radulesco</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France. thomas.radulesco@ap-hm.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex, France. thomas.radulesco@ap-hm.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Aix-Marseille University, IUSTI, 13013, Marseille, France. thomas.radulesco@ap-hm.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Aix-Marseille University, IUSTI, 13013, Marseille</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Lechien, Jerome R" sort="Lechien, Jerome R" uniqKey="Lechien J" first="Jerome R" last="Lechien">Jerome R. Lechien</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons</wicri:regionArea><orgName type="university">Université de Mons</orgName><placeName><settlement type="city">Liège</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province de Hainaut</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Sowerby, Leigh J" sort="Sowerby, Leigh J" uniqKey="Sowerby L" first="Leigh J" last="Sowerby">Leigh J. Sowerby</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Western University, London, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Western University, London, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Saussez, Sven" sort="Saussez, Sven" uniqKey="Saussez S" first="Sven" last="Saussez">Sven Saussez</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons</wicri:regionArea><orgName type="university">Université de Mons</orgName><placeName><settlement type="city">Liège</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province de Hainaut</region></placeName></affiliation></author><author><name sortKey="Chiesa Estomba, Carlos" sort="Chiesa Estomba, Carlos" uniqKey="Chiesa Estomba C" first="Carlos" last="Chiesa-Estomba">Carlos Chiesa-Estomba</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian</wicri:regionArea><wicri:noRegion>San Sebastian</wicri:noRegion></affiliation></author><author><name sortKey="Sargi, Zoukaa" sort="Sargi, Zoukaa" uniqKey="Sargi Z" first="Zoukaa" last="Sargi">Zoukaa Sargi</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Lavigne, Philippe" sort="Lavigne, Philippe" uniqKey="Lavigne P" first="Philippe" last="Lavigne">Philippe Lavigne</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de L'Université de Montréal, Montreal, QC, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de L'Université de Montréal, Montreal, QC</wicri:regionArea><wicri:noRegion>QC</wicri:noRegion></affiliation></author><author><name sortKey="Calvo Henriquez, Christian" sort="Calvo Henriquez, Christian" uniqKey="Calvo Henriquez C" first="Christian" last="Calvo-Henriquez">Christian Calvo-Henriquez</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Lim, Chwee Ming" sort="Lim, Chwee Ming" uniqKey="Lim C" first="Chwee Ming" last="Lim">Chwee Ming Lim</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Duke-NUS Medical School, Singapore General Hospital, Singapore, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Otorhinolaryngology Head and Neck Surgery, Duke-NUS Medical School, Singapore General Hospital, Singapore</wicri:regionArea><wicri:noRegion>Singapore</wicri:noRegion></affiliation></author><author><name sortKey="Tangjaturonrasme, Napadon" sort="Tangjaturonrasme, Napadon" uniqKey="Tangjaturonrasme N" first="Napadon" last="Tangjaturonrasme">Napadon Tangjaturonrasme</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology Head of Division of Head and Neck Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.</nlm:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Otolaryngology Head of Division of Head and Neck Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation></author><author><name sortKey="Vatanasapt, Patravoot" sort="Vatanasapt, Patravoot" uniqKey="Vatanasapt P" first="Patravoot" last="Vatanasapt">Patravoot Vatanasapt</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.</nlm:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen</wicri:regionArea><wicri:noRegion>Khon Kaen</wicri:noRegion></affiliation></author><author><name sortKey="Dehgani Mobaraki, Puya" sort="Dehgani Mobaraki, Puya" uniqKey="Dehgani Mobaraki P" first="Puya" last="Dehgani-Mobaraki">Puya Dehgani-Mobaraki</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology Head and Surgery, Gubbio-Gualdo Tadino Hospital, USL Umbria 1, Gubbio, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Otolaryngology Head and Surgery, Gubbio-Gualdo Tadino Hospital, USL Umbria 1, Gubbio</wicri:regionArea><wicri:noRegion>Gubbio</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Association "Naso Sano" Onlus, Umbria Regional Registry of Volunteer Activities, Corciano, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Association "Naso Sano" Onlus, Umbria Regional Registry of Volunteer Activities, Corciano</wicri:regionArea><wicri:noRegion>Corciano</wicri:noRegion></affiliation></author><author><name sortKey="Fakhry, Nicolas" sort="Fakhry, Nicolas" uniqKey="Fakhry N" first="Nicolas" last="Fakhry">Nicolas Fakhry</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Ayad, Tareck" sort="Ayad, Tareck" uniqKey="Ayad T" first="Tareck" last="Ayad">Tareck Ayad</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de L'Université de Montréal, Montreal, QC, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de L'Université de Montréal, Montreal, QC</wicri:regionArea><wicri:noRegion>QC</wicri:noRegion></affiliation></author><author><name sortKey="Michel, Justin" sort="Michel, Justin" uniqKey="Michel J" first="Justin" last="Michel">Justin Michel</name><affiliation wicri:level="3"><nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Aix-Marseille University, IUSTI, 13013, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Aix-Marseille University, IUSTI, 13013, Marseille</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author></analytic><series><title level="j">European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</title><idno type="eISSN">1434-4726</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>The COVID-19 pandemic has caused significant confusion about healthcare providers' and patients' pandemic-specific risks related to surgery. The aim of this systematic review is to summarize recommendations for sinus and anterior skull base surgery during the COVID-19 pandemic.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>PubMed/MEDLINE, Google Scholar, Scopus and Embase were searched by two independent otolaryngologists from the Young Otolaryngologists of IFOS (YO-IFOS) for studies dealing with sinus and skull base surgery during COVID-19 pandemic. The review also included unpublished guidelines edited by Otolaryngology-Head and Neck Surgery or Neurosurgery societies. Perioperative factors were investigated including surgical indications, preoperative testing of patients, practical management in operating rooms, technical aspects of surgery and postoperative management. The literature review was performed according to PRISMA guidelines. The criteria for considering studies or guidelines for the review were based on the population, intervention, comparison, outcome, timing and setting (PICOTS) framework.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>15 International publications met inclusion criteria. Five references were guidelines from national societies. All guidelines recommended postponing elective surgeries. An algorithm is proposed that classifies endonasal surgical procedures into three groups based on the risk of postponing surgery. Patients' COVID-19 status should be preoperatively assessed. Highest level of personal protective equipment (PPE) is recommended, and the use of high-speed powered devices should be avoided. Face-to-face postoperative visits must be limited.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Sinus and skull base surgeries are high-risk procedures due to potential aerosolization of SARS-CoV-2 virus. Protection of health care workers by decreasing exposure and optimizing the use of PPE is essential with sinus and anterior skull base surgery.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32710178</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1434-4726</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Jul</Month><Day>24</Day></PubDate></JournalIssue><Title>European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</Title><ISOAbbreviation>Eur Arch Otorhinolaryngol</ISOAbbreviation></Journal><ArticleTitle>Sinus and anterior skull base surgery during the COVID-19 pandemic: systematic review, synthesis and YO-IFOS position.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00405-020-06236-9</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The COVID-19 pandemic has caused significant confusion about healthcare providers' and patients' pandemic-specific risks related to surgery. The aim of this systematic review is to summarize recommendations for sinus and anterior skull base surgery during the COVID-19 pandemic.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">PubMed/MEDLINE, Google Scholar, Scopus and Embase were searched by two independent otolaryngologists from the Young Otolaryngologists of IFOS (YO-IFOS) for studies dealing with sinus and skull base surgery during COVID-19 pandemic. The review also included unpublished guidelines edited by Otolaryngology-Head and Neck Surgery or Neurosurgery societies. Perioperative factors were investigated including surgical indications, preoperative testing of patients, practical management in operating rooms, technical aspects of surgery and postoperative management. The literature review was performed according to PRISMA guidelines. The criteria for considering studies or guidelines for the review were based on the population, intervention, comparison, outcome, timing and setting (PICOTS) framework.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">15 International publications met inclusion criteria. Five references were guidelines from national societies. All guidelines recommended postponing elective surgeries. An algorithm is proposed that classifies endonasal surgical procedures into three groups based on the risk of postponing surgery. Patients' COVID-19 status should be preoperatively assessed. Highest level of personal protective equipment (PPE) is recommended, and the use of high-speed powered devices should be avoided. Face-to-face postoperative visits must be limited.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Sinus and skull base surgeries are high-risk procedures due to potential aerosolization of SARS-CoV-2 virus. Protection of health care workers by decreasing exposure and optimizing the use of PPE is essential with sinus and anterior skull base surgery.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Radulesco</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-5939-5372</Identifier><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France. thomas.radulesco@ap-hm.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex, France. thomas.radulesco@ap-hm.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Aix-Marseille University, IUSTI, 13013, Marseille, France. thomas.radulesco@ap-hm.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lechien</LastName><ForeName>Jerome R</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sowerby</LastName><ForeName>Leigh J</ForeName><Initials>LJ</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Western University, London, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saussez</LastName><ForeName>Sven</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chiesa-Estomba</LastName><ForeName>Carlos</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sargi</LastName><ForeName>Zoukaa</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lavigne</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de L'Université de Montréal, Montreal, QC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Calvo-Henriquez</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lim</LastName><ForeName>Chwee Ming</ForeName><Initials>CM</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Duke-NUS Medical School, Singapore General Hospital, Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tangjaturonrasme</LastName><ForeName>Napadon</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Otolaryngology Head of Division of Head and Neck Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vatanasapt</LastName><ForeName>Patravoot</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dehgani-Mobaraki</LastName><ForeName>Puya</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Otolaryngology Head and Surgery, Gubbio-Gualdo Tadino Hospital, USL Umbria 1, Gubbio, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Association "Naso Sano" Onlus, Umbria Regional Registry of Volunteer Activities, Corciano, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fakhry</LastName><ForeName>Nicolas</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ayad</LastName><ForeName>Tareck</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de L'Université de Montréal, Montreal, QC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Michel</LastName><ForeName>Justin</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 13385, Marseille Cedex, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Aix-Marseille University, IUSTI, 13013, Marseille, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Eur Arch Otorhinolaryngol</MedlineTA><NlmUniqueID>9002937</NlmUniqueID><ISSNLinking>0937-4477</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="ErratumIn"><RefSource>Eur Arch Otorhinolaryngol. 2020 Aug 10;:</RefSource><PMID Version="1">32776196</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Coronavirus infections</Keyword><Keyword MajorTopicYN="N">Health planning guidelines</Keyword><Keyword MajorTopicYN="N">Nose diseases</Keyword><Keyword MajorTopicYN="N">Operative procedures</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>24</Day></PubMedPubDate><PubMedPubDate 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Mons</li></orgName></list><tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Radulesco, Thomas" sort="Radulesco, Thomas" uniqKey="Radulesco T" first="Thomas" last="Radulesco">Thomas Radulesco</name></region><name sortKey="Ayad, Tareck" sort="Ayad, Tareck" uniqKey="Ayad T" first="Tareck" last="Ayad">Tareck Ayad</name><name sortKey="Calvo Henriquez, Christian" sort="Calvo Henriquez, Christian" uniqKey="Calvo Henriquez C" first="Christian" last="Calvo-Henriquez">Christian Calvo-Henriquez</name><name sortKey="Chiesa Estomba, Carlos" sort="Chiesa Estomba, Carlos" uniqKey="Chiesa Estomba C" first="Carlos" last="Chiesa-Estomba">Carlos Chiesa-Estomba</name><name sortKey="Dehgani Mobaraki, Puya" sort="Dehgani Mobaraki, Puya" uniqKey="Dehgani Mobaraki P" first="Puya" last="Dehgani-Mobaraki">Puya Dehgani-Mobaraki</name><name sortKey="Fakhry, Nicolas" sort="Fakhry, Nicolas" uniqKey="Fakhry N" first="Nicolas" last="Fakhry">Nicolas Fakhry</name><name 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